Differential diagnosis of two white lesions in jugal mucosa: case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Uningá (Online) |
Texto Completo: | https://revista.uninga.br/uninga/article/view/4022 |
Resumo: | Leukoedema is a change that affects the jugal mucosa bilaterally, presenting as a whitish or grayish-white plaque. It has uncertain etiology, but is believed to be derived from a developmental change, while leukoplakia is a clinical term for the definition of a non-shaved white plaque that can affect the jugal mucosa and other oral sites. Its etiology may be linked to the use of tobacco, alcohol and ultraviolet radiation, being considered a potentially malignant lesion and treatment will depend on the degree of cellular dysplasia and extent of the lesion. The aim of this article is to present a clinical case of a patient diagnosed with two white lesions in the jugal mucosa. A 57-year-old female brown patient sought dental care complaining of white spots on her cheeks. She reported being a smoker for 35 years, having the habit of consuming a pack and a half a day. After clinical examination, the diagnostic hypotheses of leukoedema and leukoplakia were raised. Incisional biopsy, followed by histopathological analysis, confirmed the diagnosis of leukoedema with overlapping leukoplakia. Leukoedema does not require treatment as it is a variation of normality. However, it may be clinically associated with disorders that require intervention, as in the case presented, generating masking of characteristics and, consequently, diagnostic confusion. |
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Differential diagnosis of two white lesions in jugal mucosa: case reportDiagnóstico diferencial de duas lesões brancas na mucosa jugal: relato de casoLeucoedemaLeucoplasiaPatologiaCirurgia bucalLesão potencialmente maligna Patologia oralLeukoedemaLeukoplakiaPathologyOral pathologyPotentially malignant lesionSurgeryLeukoedema is a change that affects the jugal mucosa bilaterally, presenting as a whitish or grayish-white plaque. It has uncertain etiology, but is believed to be derived from a developmental change, while leukoplakia is a clinical term for the definition of a non-shaved white plaque that can affect the jugal mucosa and other oral sites. Its etiology may be linked to the use of tobacco, alcohol and ultraviolet radiation, being considered a potentially malignant lesion and treatment will depend on the degree of cellular dysplasia and extent of the lesion. The aim of this article is to present a clinical case of a patient diagnosed with two white lesions in the jugal mucosa. A 57-year-old female brown patient sought dental care complaining of white spots on her cheeks. She reported being a smoker for 35 years, having the habit of consuming a pack and a half a day. After clinical examination, the diagnostic hypotheses of leukoedema and leukoplakia were raised. Incisional biopsy, followed by histopathological analysis, confirmed the diagnosis of leukoedema with overlapping leukoplakia. Leukoedema does not require treatment as it is a variation of normality. However, it may be clinically associated with disorders that require intervention, as in the case presented, generating masking of characteristics and, consequently, diagnostic confusion.Leucoedema é uma alteração que afeta a mucosa jugal, bilateralmente, apresentando-se como uma placa esbranquiçada ou branco-acinzentada. Possui etiologia incerta, mas acredita-se que seja proveniente de uma alteração de desenvolvimento, enquanto isso a leucoplasia é um termo clínico para a definição de uma placa branca não raspável que pode afetar a mucosa jugal e outros sítios orais. Sua etiologia pode estar ligada ao uso de tabaco, álcool e radiação ultravioleta, sendo considerada uma lesão potencialmente maligna e o tratamento dependerá do grau de displasia celular e extensão da lesão. O objetivo deste artigo é apresentar um caso clínico de uma paciente diagnosticada com duas lesões brancas na mucosa jugal. Paciente do sexo feminino, de 57 anos de idade, parda, procurou atendimento odontológico com queixa de manchas brancas em suas bochechas. Ela relatou ser fumante por 35 anos, tendo o costume de consumir um maço e meio por dia. Após o exame clínico, foram levantadas as hipóteses diagnósticas de leucoedema e leucoplasia. A biópsia incisional, seguida de análise histopatológica, confirmou o diagnóstico de leucoedema com leucoplasia sobreposta. O Leucoedema não requer tratamento, pois é uma variação da normalidade. No entanto, pode estar clinicamente associado a transtornos que requerem intervenção, como no caso apresentado, gerando mascaramento de características e, consequentemente, confusão diagnóstica.Editora Uningá2022-06-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTextoinfo:eu-repo/semantics/otherapplication/pdfapplication/pdfhttps://revista.uninga.br/uninga/article/view/402210.46311/2318-0579.59.eUJ4022Revista Uningá; Vol. 59 (2022); eUJ4022Revista Uningá; v. 59 (2022); eUJ40222318-057910.46311/ru.v59ireponame:Revista Uningá (Online)instname:Centro Universitário Uningáinstacron:UNINGAporenghttps://revista.uninga.br/uninga/article/view/4022/2617https://revista.uninga.br/uninga/article/view/4022/2618Copyright (c) 2022 Revista Uningáhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, Iago Demétrio daTolentino, Elen de SouzaVeltrini, Vanessa CristinaPieralisi, NeliSilva, Mariliani Chicarelli da2024-01-18T14:38:54Zoai:ojs.revista.uninga.br:article/4022Revistahttps://revista.uninga.br/uninga/indexPUBhttps://revista.uninga.br/uninga/oairevistauninga@uninga.edu.br2318-05792318-0579opendoar:2024-01-18T14:38:54Revista Uningá (Online) - Centro Universitário Uningáfalse |
dc.title.none.fl_str_mv |
Differential diagnosis of two white lesions in jugal mucosa: case report Diagnóstico diferencial de duas lesões brancas na mucosa jugal: relato de caso |
title |
Differential diagnosis of two white lesions in jugal mucosa: case report |
spellingShingle |
Differential diagnosis of two white lesions in jugal mucosa: case report Silva, Iago Demétrio da Leucoedema Leucoplasia Patologia Cirurgia bucal Lesão potencialmente maligna Patologia oral Leukoedema Leukoplakia Pathology Oral pathology Potentially malignant lesion Surgery |
title_short |
Differential diagnosis of two white lesions in jugal mucosa: case report |
title_full |
Differential diagnosis of two white lesions in jugal mucosa: case report |
title_fullStr |
Differential diagnosis of two white lesions in jugal mucosa: case report |
title_full_unstemmed |
Differential diagnosis of two white lesions in jugal mucosa: case report |
title_sort |
Differential diagnosis of two white lesions in jugal mucosa: case report |
author |
Silva, Iago Demétrio da |
author_facet |
Silva, Iago Demétrio da Tolentino, Elen de Souza Veltrini, Vanessa Cristina Pieralisi, Neli Silva, Mariliani Chicarelli da |
author_role |
author |
author2 |
Tolentino, Elen de Souza Veltrini, Vanessa Cristina Pieralisi, Neli Silva, Mariliani Chicarelli da |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Silva, Iago Demétrio da Tolentino, Elen de Souza Veltrini, Vanessa Cristina Pieralisi, Neli Silva, Mariliani Chicarelli da |
dc.subject.por.fl_str_mv |
Leucoedema Leucoplasia Patologia Cirurgia bucal Lesão potencialmente maligna Patologia oral Leukoedema Leukoplakia Pathology Oral pathology Potentially malignant lesion Surgery |
topic |
Leucoedema Leucoplasia Patologia Cirurgia bucal Lesão potencialmente maligna Patologia oral Leukoedema Leukoplakia Pathology Oral pathology Potentially malignant lesion Surgery |
description |
Leukoedema is a change that affects the jugal mucosa bilaterally, presenting as a whitish or grayish-white plaque. It has uncertain etiology, but is believed to be derived from a developmental change, while leukoplakia is a clinical term for the definition of a non-shaved white plaque that can affect the jugal mucosa and other oral sites. Its etiology may be linked to the use of tobacco, alcohol and ultraviolet radiation, being considered a potentially malignant lesion and treatment will depend on the degree of cellular dysplasia and extent of the lesion. The aim of this article is to present a clinical case of a patient diagnosed with two white lesions in the jugal mucosa. A 57-year-old female brown patient sought dental care complaining of white spots on her cheeks. She reported being a smoker for 35 years, having the habit of consuming a pack and a half a day. After clinical examination, the diagnostic hypotheses of leukoedema and leukoplakia were raised. Incisional biopsy, followed by histopathological analysis, confirmed the diagnosis of leukoedema with overlapping leukoplakia. Leukoedema does not require treatment as it is a variation of normality. However, it may be clinically associated with disorders that require intervention, as in the case presented, generating masking of characteristics and, consequently, diagnostic confusion. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-27 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Texto info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.uninga.br/uninga/article/view/4022 10.46311/2318-0579.59.eUJ4022 |
url |
https://revista.uninga.br/uninga/article/view/4022 |
identifier_str_mv |
10.46311/2318-0579.59.eUJ4022 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revista.uninga.br/uninga/article/view/4022/2617 https://revista.uninga.br/uninga/article/view/4022/2618 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Uningá https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista Uningá https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora Uningá |
publisher.none.fl_str_mv |
Editora Uningá |
dc.source.none.fl_str_mv |
Revista Uningá; Vol. 59 (2022); eUJ4022 Revista Uningá; v. 59 (2022); eUJ4022 2318-0579 10.46311/ru.v59i reponame:Revista Uningá (Online) instname:Centro Universitário Uningá instacron:UNINGA |
instname_str |
Centro Universitário Uningá |
instacron_str |
UNINGA |
institution |
UNINGA |
reponame_str |
Revista Uningá (Online) |
collection |
Revista Uningá (Online) |
repository.name.fl_str_mv |
Revista Uningá (Online) - Centro Universitário Uningá |
repository.mail.fl_str_mv |
revistauninga@uninga.edu.br |
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1797042158826422272 |